President and Chief Executive Officer
Mr. Durkalski became CEO of Sendero Health Plans in September of 2014, after serving as COO since March of 2014. He originally joined Sendero as CFO in February 2012, and helped lead the company through the 2012 launch of its Texas STAR & CHIP products. Later he led the successful implementation of its Federal Marketplace IdealCare products. As COO, Mr. Durkalski repositioned Sendero’s presence in the community, supporting closer working relationships with providers, community partners, and area residents.
Sendero is a non-profit health plan started by Central Health, the Travis County Healthcare District, to coordinate healthcare coverage for those with need in the local community.
Prior to joining Sendero Health Plans, Mr. Durkalski was the Chief Financial Officer for Amerigroup in Austin and San Antonio. During his tenure, he delivered the best performance in the state against budgets and assisted in the turnaround of the lowest performing market in the company. Earlier at Amerigroup, he developed and implemented the company's first successful company-wide provider profiling program, which utilized quality, acuity, and financial data to improve evidence-based care delivery.
Chief Operations Officer/Compliance
Connie McFadden is a health care professional with over twenty-eight years of experience in government programs such as Medicaid and CHIP. Her areas of expertise include health care compliance and regulations, quality improvement, Medicare and Medicaid (STAR/STAR+ PLUS), CHIP, and Texas Health and Human Services Commission (HHSC), Texas Department of Insurance (TDI) and Centers For Medicare & Medicaid Services (CMS) reporting requirements.
Connie was born and raised in San Antonio, Texas and attended San Antonio College before moving to El Paso, in October 1987, where she attended El Paso Community College, and University of Texas in El Paso. While in El Paso, Connie worked for the Texas Department of Health. She moved to Austin in April of 1996 and began working for the Health and Human Services Commission (HHSC) in the Managed Care Operation Division and attended Austin Community College. Connie continued working in Managed Care Operations, later known as Health Plan Management, until she retired in June 2010.
To utilize the vast Medicaid/CHIP and managed care operations knowledge and experience she had acquired during her employment with HHSC, Connie form Dynamic Consulting Services in August 2010. She provided consulting services to multiple health plans, assisting them to prepare for HHSC’s operational readiness reviews. She developed and/or updated health plans’ policies and procedures, developed training curriculum and conducted training for Call Center and Service Coordination staff, assisted in network development and conducted mock audits. Connie began her career in the managed care arena in September 2011 as Director of Government Program and became Compliance Director at Sendero Health Plans in January 2014. In this capacity Connie was responsible for health plan compliance with all state and federal regulatory requirements, including contractual requirements in the HHSC Uniform Managed Care Contract and Uniform Managed Care Manual, Texas Department of Insurance regulations and CMS requirements. In June 2015, Connie became Sendero’s Chief Operations Office overseeing Member Services, Network Management, Vender Relations, Marketing and Outreach as well as Compliance.
¿QUÉ ES OBAMACARE/LEY DE CUIDADO DE SALUD A BAJO PRECIO?
Obamacare, oficialmente conocido como la Ley de Cuidado de Salud a Bajo Precio, fue promulgada el 23 de marzo de 2010. La ley reforma significativamente nuestro sistema de atención médica y su objetivo es asegurarse de que haya cobertura médica disponible a bajo precio para aquéllos que no la reciben a través de un empleador. La ley establece que los estadounidenses deberán comprar un seguro médico; sin embargo, algunas personas calificarán para obtener ayuda con el pago si cumplen ciertos criterios. La mayoría de las reformas comienzan en 2014, aunque no se implementarán por completo hasta el año 2022.